<form action="{:url('pay')}" class="form-horizontal" role="form" data-toggle="validator" method="POST">
    <div class="form-group">
        <label for="c-money" class="control-label col-xs-12 col-sm-2">{:__('充值金额')}:</label>
        <div class="col-xs-12 col-sm-4">
            <input type="text" id="c-money" data-rule="required"  class="form-control"  name="money">
        </div>
    </div>
    <div class="form-group" style="display:none;">
        <label for="c-money" class="control-label col-xs-12 col-sm-2">{:__('用户ID')}:</label>
        <div class="col-xs-12 col-sm-4">
            <input type="text" id="c-uid" data-rule="required"  class="form-control"   name="uid" value="{$uid}">
        </div>
    </div>
    <div class="form-group" style="display:none;">
        <label for="c-storeid" class="control-label col-xs-12 col-sm-2">{:__('门店ID')}:</label>
        <div class="col-xs-12 col-sm-4">
            <input type="text" id="c-storeid" data-rule="required"  class="form-control"   name="storeid" value="{$storeid}">
        </div>
    </div>

    <div class="form-group layer-footer">
        <label class="control-label col-xs-12 col-sm-2"></label>
        <div class="col-xs-12 col-sm-8">
            <button type="submit" class="btn btn-success btn-embossed ">{:__('OK')}</button>
            <button type="reset" class="btn btn-default btn-embossed">{:__('Reset')}</button>
        </div>
    </div>
</form>